Sanford Behavioral Health Outpatient Llc - Medicare Mental Health Clinic in Marne, MI

Sanford Behavioral Health Outpatient Llc is a medicare enrolled mental health clinic (Clinic/center - Multi-specialty) in Marne, Michigan. The current practice location for Sanford Behavioral Health Outpatient Llc is 15146 16th Ave, Marne, Michigan. For appointments, you can reach them via phone at (844) 776-9651. The mailing address for Sanford Behavioral Health Outpatient Llc is 15146 16th Ave, Marne, Michigan and phone number is (844) 776-9651.

Sanford Behavioral Health Outpatient Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1679201271. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (844) 776-9651.

Contact Information

Sanford Behavioral Health Outpatient Llc
15146 16th Ave
Marne
MI 49435-9605
(844) 776-9651
Not Available

Mental Health Clinic Profile

Full NameSanford Behavioral Health Outpatient Llc
SpecialityClinic/Center
Location15146 16th Ave, Marne, Michigan
Authorized Official Name and PositionStephanie Robinson (CREDENTIALING & CONTRACTING MANAGER)
Authorized Official Contact6165209074
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sanford Behavioral Health Outpatient Llc
15146 16th Ave
Marne
MI 49435-9605

Ph: (844) 776-9651
Sanford Behavioral Health Outpatient Llc
15146 16th Ave
Marne
MI 49435-9605

Ph: (844) 776-9651

NPI Details:

NPI Number1679201271
Provider Enumeration Date08/11/2022
Last Update Date08/29/2022
Certification Date08/29/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6709243629
Medicare Enrollment IDO20230608001937

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Medical Identifiers

Medical identifiers for Sanford Behavioral Health Outpatient Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679201271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
133NN1002XNutritionist - Nutrition, Education (* (Not Available))Secondary
133V00000XDietitian, Registered (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sanford Behavioral Health Outpatient Llc acts as a billing entity for following providers:
Provider NameGilbert A Masterson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497740930
PECOS PAC ID: 3375635006
Enrollment ID: I20070824000761

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Clinic/Center in Marne, MI

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